O'Malley, Ellen
O'Malley, Ellen is an individual health care provider with primary practice located at 12350 Woodrose Ct Apt 3 , Fort Myers FL 33907-4621. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. O'Malley, Ellen can be contacted via phone (239) 822-6718.Contact Information
Primary practice address
12350 Woodrose Ct Apt 3
Fort Myers FL 33907-4621
Phone: (239) 822-6718
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 6031 | Florida |
Profile Details
| NPI number | 1174663504 |
|---|---|
| LBN Legal business name | O'Malley, Ellen |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Apr 15th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174663504 | NPPES |
| Florida | MEDICAID | 760418100 |
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